Tara Lynn Lanz, is a medicare enrolled "Nurse Practitioner - Family" in Lowell, Michigan. Her current practice location is
350 N Center St, Lowell, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 897-8473.
Tara Lynn Lanz is licensed to practice in Michigan (license number 4704263184) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801620828.
Provider's Profile
Full Name | Tara Lynn Lanz |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 350 N Center St, Lowell, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801620828
- Provider Enumeration Date: 08/30/2024
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719100288
- Enrollment ID: I20241015002016
Medical Identifiers
Medical identifiers for Tara Lynn Lanz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801620828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704263184 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Lynn Lanz allows following entities to bill medicare on her behalf.
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Lynn Lanz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara Lynn Lanz, 4921 Goodwin Rd, Lyons, MI 48851-9718 Ph: (517) 712-4701 | Tara Lynn Lanz, 350 N Center St, Lowell, MI 49331-1212 Ph: (616) 897-8473 |
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